Bill > S1925

This bill aims to improve diabetes care for Medicare beneficiaries by expanding access to diabetes self-management training services and introducing virtual training options. Specifically, it modifies existing Medicare regulations to provide beneficiaries with an initial 10 hours of individual or group diabetes education services that can be used flexibly, plus an additional 2 hours of training each year. The bill removes previous limitations on training services, allowing physicians or qualified non-physician practitioners to determine medical necessity. It also eliminates cost-sharing for these services, meaning Medicare will cover 100% of the costs. Additionally, the bill requires the Center for Medicare and Medicaid Innovation (CMI) to develop and test a model for virtual diabetes self-management training services by January 1, 2026. The virtual model will be designed to evaluate improvements in health outcomes, such as reduced A1c levels, fewer hospitalizations, increased service utilization, better medication adherence, and potential cost savings. The bill mandates consultation with diabetes care experts, clinicians, digital health professionals, and beneficiary groups in developing this model. These changes will take effect for services provided on or after January 1, 2027.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/1925/all-info